Tildrakizumab for Moderate-to-Severe Plaque Psoriasis: An Evidence-Based Review

Authors

  • Alim R. Devani, MD, FRCPC
  • Vimal H. Prajapati, MD, FRCPC

Abstract

Tildrakizumab is a fully human monoclonal antibody that selectively targets the p19 subunit of interleukin-23 (IL-23). It has been approved for the treatment of adults with moderate-to-severe plaque psoriasis in several countries. The standard dose is 100 mg by subcutaneous injection at weeks 0 and 4, then every 12 weeks thereafter, although a 200 mg dosage at the same interval does have approval in some jurisdictions.

The aim of this article is to review the available evidence for tildrakizumab in treating moderate-to-severe chronic plaque psoriasis. In-depth discussion will be limited to pivotal studies and post hoc analyses.

Author Biographies

Alim R. Devani, MD, FRCPC

Dr. Alim R. Devani completed his dermatology residency at the University of Alberta, earning certification in both Canada and the United States. Dr. Devani has received 5 major awards; authored 1 textbook chapter; published 10 peer-reviewed manuscripts in print or electronic format; and presented at numerous scientific meetings regionally and nationally. He currently practices at the Skin Health and Wellness Centre and the Dermatology Research Institute. Dr. Devani also conducts clinical trials for both adults and children and is the co-creator of The Dermatology Philosophy, as well as the co-founder and co-director of the Dermatology Learning Institute, Dermatology Research Institute, and Dermphi Therapeutics. He is an expert in acne, atopic dermatitis, psoriasis, skin cancer, and anti-aging.

Vimal H. Prajapati, MD, FRCPC

Dr. Vimal H. Prajapati is a Clinical Assistant Professor at the University of Calgary, co-creator of The Dermatology Philosophy, as well as co-founder and co-director of the Skin Health & Wellness Centre, Dermphi Centre, Dermatology Learning Institute, Dermatology Research Institute, Dermphi Therapeutics, and D&P Commercial Group. Additionally, he has started several subspecialty initiatives, including multidisciplinary clinics for pediatric morphea, pediatric scleroderma, and pediatric psoriasis in Calgary, rapid access clinics for psoriasis and eczema in Calgary, as well as rural outreach clinics for psoriasis and eczema in Medicine Hat.

References

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Reich K, Papp KA, Blauvelt A, et al. Tildrakizumab versus placebo or etanercept for chronic plaque psoriasis (reSURFACE 1 and reSURFACE 2): results from two randomised controlled, phase 3 trials. Lancet. 2017;390(10091):276-288.

Reich K, Warren RB, Iversen L, et al. Long-term efficacy and safety of tildrakizumab for moderate-to-severe psoriasis: pooled analyses of two randomized phase III clinical trials (reSURFACE 1 and reSURFACE 2) through 148 weeks. Br J Dermatol. 2020;182(3):605-617.

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Published

2021-03-01

How to Cite

1.
Devani AR, Prajapati VH. Tildrakizumab for Moderate-to-Severe Plaque Psoriasis: An Evidence-Based Review. Can Dermatol Today [Internet]. 2021 Mar. 1 [cited 2024 May 20];2(s03):3–8. Available from: https://canadiandermatologytoday.com/article/view/2-s03-devani-prajapati

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